Organization
SAINT BERNADETTE'S PRIMARY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLOU GONZALEZ (ADM/OWNER)
(956) 431-0713
Entity
Organization
Contact information
Practice address
910 HIDALGO ST, LAREDO, TX 78040-5816
(956) 431-0713
(956) 431-0708
Mailing address
910 HIDALGO ST, LAREDO, TX 78040-5816
(956) 431-0713
(956) 431-0708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/19/2016
Last updated
10/09/2019
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